Abstract
There are controversies regarding differences in quality of life (QOL) of chronic renal disease patients treated with different dialytic methods. To compare QOL among chronic renal disease patients in peritoneal dialysis (PD) and in hemodialysis (HD). Cross-sectional study in all the three centers of dialysis in Pelotas/Brazil. Patients in PD were interviewed after the monthly-routine-consultation and those in HD between the 1st-2nd hours of the dialysis session by employing structured questionnaires. QOL was assessed with Short-Form Health Survey (SF-36). Means in the eight SF-36 domains were compared between groups. Among 345 eligible patients (63 in PD and 282 in HD) 317 were interviewed (8% losses/refusals). About half of patients in both groups were in dialysis treatment for 3 years at most. There were more women in PD and more men in HD. Patients in PD reported less "pain" than those in HD (mean scores 76.5 and 64.3, respectively; p = 0.0040). There was no difference for the remaining SF-36 domains. Utilization of HD in Pelotas is a bit lower than detected at the Brazilian Dialysis Census (2011), whereas the frequency of PD is similar to frequency observed in some European countries. The higher score on "pain" among patients in PD is consistent with findings from other studies although no difference and even additional advantages of PD over HD have already been reported. QOL is similar among patients in DP or in HD, except in terms of pain, that was less severe in PD patients.
Highlights
There are controversies regarding differences in quality of life (QOL) of chronic renal disease patients treated with different dialytic methods
In 1994, the World Health Organization (WHO), defined QoL as “the individual’s perception of his/her position in the family, Quality of life in chronic kidney disease in the context of culture and value system in which he/she lives and in relation to his/her goals, expectations, standards and concerns.”[8]. As far as Chronic kidney disease (CKD) patients are concerned, some authors reported worse QoL among chronic end-stage renal patients in pre-dialysis compared to the general population.[9,10]
The main findings of this study were that the vast majority (81.1%) of patients on renal replacement therapy (RRT) are on HD and the QoL of those in peritoneal dialysis (PD), for the pain domain, is higher than that for patients on HD
Summary
There are controversies regarding differences in quality of life (QOL) of chronic renal disease patients treated with different dialytic methods. Much has been published about QoL, and many have been the attempts to find a better definition of the term under the most different perspectives, considering the science or the individual.[7] In 1994, the World Health Organization (WHO), defined QoL as “the individual’s perception of his/her position in the family, Quality of life in chronic kidney disease in the context of culture and value system in which he/she lives and in relation to his/her goals, expectations, standards and concerns.”[8] As far as CKD patients are concerned, some authors reported worse QoL among chronic end-stage renal patients in pre-dialysis compared to the general population.[9,10] Comparing QoL in patients treated with PD or HD, several researchers found similar results with both methods.[11,12,13,14,15,16] Others reported HD being superior to PD,[17,18] as well as the opposite (PD over HD).[19,20,21,22,23,24,25,26]
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